Central venous catheters, care and generalities
Keywords:
Central venous catheter, Asepsis, Sistematic local/infectionAbstract
The central venous catheters (CVCs) are indicated in those patients who need multiple infusions liquids that cannot be administered by a peripheral access, a catheter. it is inserted with the purpose of obtaining a direct access to the central vascular system of the patient during a period of relatively short time. At the present time several types of venous catheters exist that can be of short and releases duration, the valuation of real necessities and potential of the patient it will allow the election of the suitable catheter.
We can find surgical CVCs in Units of Intensive Cares, units medical, units of transplants and in programs of ambulatory therapies. Its utility as much for administration of drugs and therapeutic solutions as for hemodinámica monitorización it is obvious nevertheless, the risk of taking place local or sistémicas infections is very high since it represents a problem of very important health for the hospitals. Within this frame, the infirmary personnel plays a very important role in relation to the incidence of infections associated catheter by its direct implication in the care of such from its positioning to its retirement. The results will be optimal if it is had personnel who knows and fulfills the protocol of positioning and handling of CVCs of its hospitable unit.
References
Corolyn D. Una completa revisión sobre catéteres venosos centrales. Cleveland Ohio.1990:10-15
JF Mora Rafael. Soporte nutricional especial. Ed. Médica Panamericana. 1992:129,128.
Maki A. Semicuantitative culture method for identify of catheter related infection; N. England. 1977:13051309
Wilson J Atrial catheters (Broviac-Hickman): Indications, insertion, maintenance and protocols home care, NITA, 1983:23-37.
J Esteve, J Mitjans. Enfermería técnicas clínicas. Ed. Mc Graw-Hill, Interamericana de España: 42-146,164-170,453-456.
Morbidity and mortality weekly report. Guidelines for thenprevention of intravascular catheter-related infections: 2002, Vol. 51.